Thu.Jun 06, 2024

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Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?

Health Care Dive

Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.

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Burdensome step therapy requirements could delay care for cancer patients: analysis

Fierce Healthcare

Restrictive health plan policies are increasingly relying on step therapy for cancer drugs, recent analysis from consulting firm Avalere shows. | Step therapy is embedded within prior auth requirements by health plans, potentially delaying critical access to care for cancer patients. In rare circumstances, patients must go through triple or quadruple step therapy.

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FTC cannot block $320M Novant, CHS deal

Health Care Dive

A federal court struck a blow to antitrust regulators on Wednesday when it ruled that Novant’s purchase of two hospitals from CHS could go through, arguing the deal seems likely to promote competition in North Carolina.

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KFF: Insurers likely to pay out $1.1B in premium rebates this year

Fierce Healthcare

Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis. | Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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Kaiser Permanente School of Medicine’s outgoing CEO on how technology aids student learning

Health Care Dive

Before his job as CEO ends this summer, Healthcare Dive spoke with Mark Schuster about the new medical school and how immersive technologies can aid instruction.

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White House enlists doctors and hospitals to combat gun violence

Fierce Healthcare

The White House is calling on hospital executives, doctors and other healthcare leaders to take bolder steps to prevent gun violence by gathering more data about gunshot injuries and routinely coun | In 1996, Congress cut federal funding for gun control research by the CDC, essentially shifting the responsibility for funding and conducting the research to the private sector and academia—and with a fraction of the previous budget.

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Eyebot wants to make vision care more accessible through AI-powered kiosks. It just nabbed $6M to expand

Fierce Healthcare

Startup Eyebot aims to bring 21st-century innovation to vision care to make eye exams more accessible to people. | Startup Eyebot developed kiosks that provide automated, self-serve vision tests in as quickly as 90 seconds and can offer prescriptions for corrective eyewear.

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Why Thermal Printing is Preferred by Pediatric Hospitals

PDC Healthcare

Printable patient identification wristbands with barcodes are standard in the healthcare industry, with thermal printing being the most efficient and effective print method. In pediatric hospitals, ensuring the safety and proper identification of young patients is paramount, with pediatric-sized wristbands being a critical tool in achieving this. Thermal printing technology has emerged as the preferred […] The post Why Thermal Printing is Preferred by Pediatric Hospitals appeared first on

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Digital physical therapy solutions can improve patient outcomes, reduce healthcare spending, report finds

Fierce Healthcare

Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute (PHTI) gave high marks to virtual physical therapy services for imp | Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute gave high marks to virtual physical therapy services for improving patient outcomes and cutting healthcare costs.

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Clinical Study Shows VR Treats Pain Consistently Across Sociodemographic Categories

HIT Consultant

What You Should Know: – AppliedVR , an immersive therapeutics (ITx) pioneer advancing a novel, virtual reality-based approach to medicine, today announced results from a secondary analysis of a large randomized controlled trial (RCT) that evaluated whether socio-demographic factors affected the clinical effectiveness of receiving a virtual reality (VR) therapy that treats chronic low back pain (cLBP) at home. – Researchers sought to determine whether there were differences among key

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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Wyden: HHS' current cybersecurity approach is 'woefully inadequate'

Fierce Healthcare

In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity. | In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity.

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Transactions: Dover Health Expands Through Acquisition; Parkview Forms JV With CommonSpirit Health at Home

Home Health Care

Dover expands footprint Dover Health is expanding its footprint into Illinois. The company has acquired Centered Care Hospice and Palliative Care, and Cornerstone Home Health. Through the acquisitions, Dover Health will now serve Cook, DeKalb, DuPage, Grundy, Kane, Kankakee, Kendall, Lake and Will counties in Illinois. Dover Health is a health care organization that offers a variety of services, as well as home health, hospice and palliative care.

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Digital Therapeutics Alliance to launch accreditation program to help DTx products gain uptake with payers

Fierce Healthcare

This story will be updated as details about the partnership unfold. | The Digital Therapeutics Alliance announced a partnership with DirectTrust to start an accreditation program for digital therapeutics products to help gain uptake with payers.

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The Long Run: High-Quality Employee Investments Boost Stock Performance

The Rand Blog

Companies that invest in their frontline workers could see a non-trivial uptick in their financials if they were clearer and more direct about what they were doing.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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Digital Therapeutics Alliance conference, Day 2—'These were the kinds of moments that Google was born in'

Fierce Healthcare

During Day 2 of the Digital Therapeutics Alliance's annual conference in Washington, D.C., industry stakeholders addressed the reality of the digital therapeutics market and offered advice to DTx c | The Digital Therapeutics Alliance, a trade group representing companies that provide therapy through software, hosts its annual conference in Washington, D.C., to discuss movements and lessons from the industry.

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How Technology is Helping Combat Healthcare Fraud

HIT Consultant

Healthcare fraud is a significant issue in the U.S. and one that continues to grow in scale as fraudulent actors seek to exploit the healthcare system for their own financial gain. According to the U.S. Department of Justice (D.O.J.), the cost of healthcare fraud in the country is close to $100 billion a year. This figure encompasses a wide range of deceptive practices by healthcare providers, patients, and third parties which include billing for services not rendered, falsifying documents, offe

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LifeCare Home Health Family Finds Lands Investment From Zenyth Partners

Home Health Care

Investment activity in home-based care may be picking up. Zenyth Partners – a New York-based investment firm focused on growing health care companies from early-stage businesses into larger platforms – announced Thursday it has made an investment in LifeCare Home Health Family. Financial details around the investment were not disclosed. Based in Irving, Texas, LifeCare is an in-home care provider that delivers home health and private-duty home care services across 10 affiliated branches.

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Friday Links

Healthcare ECONOMIST

Why is NIH funding small trials? (there’s a good reason!) First bird flu death in humans. Employee responses to CEO activism. How rich were the rich ? ‘ Hot hand ’ and fantasy baseball.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Tribes: Act Now to Take Advantage of Supreme Court's Decision on Contract Support Costs

HKLaw

U.S. Supreme Court ruled that Indian Health Service must pay contract support costs for program income received by tribes that administer healthcare programs under a self-determination contract.

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Sware Secures $6M to Help Life Sciences Eliminate Validation Debt

HIT Consultant

What You Should Know – Sware has secured $6 million in Series B funding to enhance its software validation solution for life sciences companies. – The new funding will support research and development, AI-driven capabilities, and expansion of Sware’s sales team to address validation debt. Insights into Sware’s Growth and Innovation Sware, a leading provider of comprehensive software validation solutions for the life sciences industry, has announced a successful raise of $

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EPtalk by Dr. Jayne 6/6/24

HIStalk

ONC is seeking feedback on a recent white paper.

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Call Center Quality—Effectively Measuring Parameters

Sequence Health

Measuring quality parameters in a medical call center is crucial for the benefit of the patients, management, and other professionals inside the healthcare center. Managers can use call center performance data to improve services and make essential management decisions. While medical centers may have different demands and services, there are common metrics for measuring performance quality.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Benefits of Outsourcing Mental Health Billing Services

Icanotes

Benefits of Outsourcing Mental Health Billing Services As a mental health provider, you likely know how stressful and time-consuming it can be to spend hours on clinical paperwork. Human error, incorrect codes and regulatory changes can all impact your revenue and make reimbursement frustrating. Outsourcing your mental health billing services can help you maximize revenue and reduce denied claims, saving time and money.

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Medication optimization. Interview with DecisionRx’s Travis Morgan

Health Business Group

Travis Morgan , President and CFO of DecisionRx touts medication optimization as the way to improve outcomes and reduce costs. In this episode, Travis shares his journey from an entrepreneurial upbringing to making waves in the life sciences and healthcare technology sectors. Learn how his experiences in public accounting and as a precision medicine company co-founder have shaped his unique approach to tackling one of the healthcare industry's most costly issues: ineffective medications.

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News 6/7/24

HIStalk

Top News Endpoints News reports that Walmart lost $230 million.

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How TheKey, Life Foundation Home Care Are Adapting To Changing Client, Caregiver Needs

Home Health Care

In order to provide more effective care, it’s imperative that home-based care providers tap into the individual needs of their clients. That was one key takeaway from a recent CareScout and Home Health Care News webinar. Life Foundation Home Care is one company that has prioritized identifying the unique needs of each client, as well as the needs of its caregivers.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Morning Headlines 6/7/24

HIStalk

Healthcare software firm Waystar raises $968 mln million in IPO,